� Filling Fee Paid � $ � � � � Certs � $ � � � � Certs � $ � SURROGATE222S COURT OF THE STATE OF NEW YORK � en-US$ � � Bond, Fee: � $ � en-USCOUNTY OF � � Receipt No: � � No: � � en-USXen-USPROBATE PROCEEDING, � � � en-USPETITION FOR PROBATE AND:en-USWILL OF: � � en-US � Letters Testamentary a/k/a � � � en-US � en-USLetters of Trusteeship � � � � en-US � en-USLetters of Administration c.t.a. � � � en-US � en-USTemporary Administration � � en-USDeceased � X � File No. � � To the Surrogate222s Court, County of � � It is respectfully alleged: � � � � � � � � � � � � � � � � � � � � en-USinterest in this proceeding of the petitioner are as follows:en-USName: � en-US � (First) � (Middle) � (Last) � � � � � en-US � (Street and Number) � en-US � (City, Village or Town) � (State) � (Zip Code) � Mailing Address: � en � (If different from domicile) en-USCitizen of: � Interest (s) of Petitioner (s): [Check one] � en-USen-US Executor (s) named in decedent222s Will � en-USen-US Other (Specify) � � 1. � (b) � The proposed Executor � en-US is � � en-USen-US is not an attorney.en-US � [NOTE: A sole Executor-Attorney must comply with 22 NYCRR 207.16(e)] � 1. � (c) � The proposed Executor � en-US is � � en-US � � � � � � � � � or employee thereof. en-US � � � � � � � � � � � � � en-USSCPA 2307-a] � 1. � (d) � The proposed Executor en-USen-US is en-USen-US is not a convicted felon nor is he/she otherwise ineligible, pursuant to � � � � � � � � � � � � � � � � � � � � � en-USCivil Disabilities. � 2. � The name, domicile, date and place of death, and national citizenship of the above-named decedent as en-USfollows: � (a) � Name: � � (b) � Date of death � � (c) � Place of death � � (d) � Domicile: Street � � City, Town, Village � � County � � � State � � (e) � Citizen of: � � 3. � The Last Will, herewith presented, relates to both real and personal property and consists of an en-USinstrument or instruments dated as shown below and signed at the end thereof by the decedent and the following en-USattesting witnesses: � � � en-US (Date of Will) � (Names of All Witnesses to Will) � � � en-US (Date of Codicil) � (Names of All Witnesses to Codicil) � � � en-US (Date of Codicil) � (Names of All Witnesses to Codicil) American LegalNet, Inc. www.FormsWorkFlow.com � � � � � � � � � � � � � � � � � � � en-USbelief, after a diligent search and inquiry, including a search of any safe deposit box, there exists no will, codicil or other en-UStestamentary instrument of the decedent later in date to any of the instruments mentioned in Paragraph 3 except as en-USfollows:en-US [Enter 223NONE224 or specify]en-US � en � en � � � � � � � � � � � � � � � � en-USthose classes of surviving relatives who would take the property of decedent pursuant to EPTL 4-1.1 and 4-1.2. State the en-USnumberen-US of survivors in each class. Insert 223en-USNOen-US224 in all prior classes. Insert 223en-USXen-US224 in all subsequent classes]. � a. � en-US � Spouse (husband/wife). � b. � en-US � Child or children and/or issue of predeceased child or children. en-US en-US[Must include marital, nonmarital, adopted, or adopted-out of child under DRL Section 117] � c. � en-US � Mother/Father. � d. � en-US � Sisters and/or brothers, either of the whole or half blood, and issue of predeceased sisters en-USand/or brothers (nieces/nephews, etc.) � e. � en-US � Grandparents. [Include maternal and paternal] � f. � en-US � � � � � � � � � � � � � en-US[Include maternal and paternal] � g. � en-US � � � � � � � � � � � � � en-USpaternal] � 6. � The names, relationships, domicile and addresses of all distributees (under EPTL 4-1.1 and 4-1.2), of en-USeach person designated in the Will herewith presented as primary executor, of all persons adversely affected by the en-USpurported exercise by such Will of any power of appointment, of all persons adversely affected by any codicil and of all � � � � � � � � � � � � � � � � � � � � � � en-USsubdivisions (a) and (b). � [If the propounded will purports to revoke or modify an inter vivos trust or any other testamentary � � � � � � � � � � � � � � � � � � en-USsubparagraphs (a) and (b) below. en-USSubmit trust agreementen-US] � (a) � All persons and parties so interested who are of full age and sound mind or which are corporations or en-USassociations, are as follows: Name and Relationship � Domicile Address and Mailing Address � Description of Legacy, Devise or Other en-USInterest, or Nature of Fiduciary Status � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � (b) � All persons so interested who are persons under disability, are as follows: � en-US � � � � � � � Name and Relationship � Domicile Address and Mailing Address � Description of Legacy, Devise or Other en-USInterest, or Nature of Fiduciary Status � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � American LegalNet, Inc. www.FormsWorkFlow.com � � � � � � � � � � � 7. � (a) � The names and domiciliary of all substitute or successor executors and of all trustees, guardians, � � � � � � � � � � � � � � � � � � en-USdesignated in the propounded Will other than those named in Paragraph 6 herewith are as follows: Name and Relationship � Domicile Address and Mailing Address � Description of Legacy, Devise or Other en-USInterest, or Nature of Fiduciary Status � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � Name and Relationship � Domicile Address and Mailing Address � Description of Legacy, Devise or Other en-USInterest, or Nature of Fiduciary Status � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � en-US[NOTE: In the case of each infant, state (a) name, birth date, relationship to decedent, domicile and residence address, en-USand the person with whom he/she resides, (b) whether or not he/she has a court-appointed guardian (if not, so state), and en-USwhether or not his/her father and/or mother is living, and (c) the name and residence address of any court-appointed en-USguardian and the information regarding such appointment. In the case of each other person under a disability, state (a) en-USname, relationship to decedent, and residence address, (b) facts regarding his disability including whether or not a � � � � � � � � � � � � � � � � � en-UScommitted to any institution, and (c) the names and addresses of any committee, person or institution having care and en-UScustody of him/her, conservator, guardian, and any relative or friend having an interest in his/her welfare. In the case of a � � � � � � � � � � � � � � � � � � � � � en-UScase of unknowns, describe such person in the same language as will be used in the process.] � � � � � � � � � � � � � � � � � en-USrelationship to the decedent, such as attorney, accountant, doctor, or clergyperson, except: en-US[Enter 223NONE224 or indicate en-USen-US. � � � (b) � No persons, corporations or associations are interested in this proceeding other than those mentioned en-USabove. � 9. � (a) � To the best of the knowledge of the undersigned, the approximate total value of all property constituting en-USthe decedent222s gross testamentary estate is greater than $ � � en-USbut less than $ � � Personal Property � $ � en-US Improved real property in New York State $ � � Unimproved real property in New York State � $ � � Estimated gross rents for a period of 18 months � $ � � (b) � No other testamentary assets exist in New York State, nor does any cause of action exist on behalf of en-USthe estate, except as follows: en-US[Enter 223NONE224 or specify] � American LegalNet, Inc. www.FormsWorkFlow.com � � � � 10. � Upon information and belief, no other petition for the probate of any will of the decedent or for letters of � � � � � � � � � � � � WHEREFORE your petitioner (s) pray (s) that process be issued to all necessary parties to show cause why the en-USWill and the Codicil (s) set forth in Paragraph 3 and presented herewith should not be admitted to probate; (b) that an en-USorder be granted directing the service of process, pursuant to the provisions of Article 3 of the S.C.P.A., upon the persons en-USnamed in Paragraph (6) hereof who